Individual
JADA BONGKOTMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Mailing address
7712 234TH ST SW, EDMONDS, WA 98026-8836
(206) 661-1089
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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